Retroauricular robotic thyroidectomy: a preliminary report of 5 cases
10.3760/cma.j.issn.1673-0860.2020.03.012
- VernacularTitle:经耳后达芬奇机器人甲状腺手术的初步经验
- Author:
Bin ZHANG
1
;
Hao YU
;
Zonghui HAN
;
Bikash RAI
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所头颈外科 恶性肿瘤发病机制及转化研究教育部重点实验室 100142；北京和睦家医院外科 100015
- Keywords:
Retroauricular approach;
Da Vinci robotic surgical system;
Thyroidectomy;
Thyroid neoplasms
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2020;55(3):254-257
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of retroauricular robotic thyroidectomy and introduce the experience and lessons.Methods:From May 2018 to December 2018, 5 consecutive cases underwent gasless retroauricular robotic thyroidectomy by using Davinci Si system at Beijing United Family Hospital, including 1 male and 4 females, aged from 18 to 37 years old. And they were retrospectively reviewed and analyzed. Among them, one case was a recurrence of cervical lympy nodes after total thyroidectomy for thyroid cancer.Results:Among 5 patients (mean age 32.4 years, mean tumor size 1.3 cm), one patient underwent unilateral thyroid lobectomies, 3 patients did total thyroidectomy and 4 patients did neck dissection. All patients had papillary thyroid carcinomas (PTC). The average time for unilateral retroauricular robotic thyroidectomy was 375 min. Intraoperative conversion to open surgery happened in one patient. Postoperative vocal cord paralysis and hypocalcemia developed in one of the patients.Conclusion:Retroauricular robotic thyroidectomy is feasible for selected patients and would be a potential alternative approach in remote-access approaches for thyroid surgery.
